Individual
DIAMOND MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
739 THIMBLE SHOALS BLVD STE 302, NEWPORT NEWS, VA 23606-3562
(757) 690-9939
Mailing address
13 ANTIQUA BAY APT 13H, HAMPTON, VA 23666-6129
(757) 641-7678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1447000
VA
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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